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<br /> . PLEASE 00 NOT WRITE IN THIS SPACE E,;,:_
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<br /> ;r Pua�saoat W We revenue I�ws oP t6e State o1f Nebraska,notice is hereby ;; ..
<br /> ,f , given teat t�e State Tax Lko whf�:h has beam duly tiled by the NebraskA ,;:•_ ""__
<br /> Ac�riuie�tof Revenue�g�instthe below-mma�ed toxpayer�is term(nated, ���
<br /> �`� pa�tlally releasecl,orsuborclinateci to tt�sex4Ent fadtcated below. ,,.�.'-_
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<br /> Sodal Sea�ri at Faderal I.D.NumDur Spouse'e Socfal Securiry Numbor ���
<br /> � . Netita9keidentiA:AlbnNumber TcutCate9orY �Y ��.-
<br /> 6�58076 Withholdin 463-58-1210 585-03-0302 `-�'
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<br /> ' �� Uon Ser1a1 NumDer Len Filed With �ateotUen ��Y -
<br /> _ �, Reg�sterotoeoaa ,(-'jc:ounhri:�e�x U8-14-95 Eiall �?'
<br /> 5/OS/314 �3d ��-
<br /> ' i 9USIt�JESS NAI�H AND LOCATION A�IDDAE3S TAXPAYER NAME AND IMAILINO ADDR�3� �_„ _--- -
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<br /> i TYPE OF ACTiOH
<br /> � Q 1'�pMINATMDN OF TAX LIEN. Thc Smte Tax Lien is hereby fully tertnioated.INSTFiUMENT NUMF3BR 95-105fi84 __
<br />�;`�";�� ._. TAX YEARS (cor�wr�t�,Individuel Ineome►,end witbho9ding t�x onty) +oo�
<br />_�`-'l ' • = , (]pqpl'IpL fdELEASE, 'Ilie State Tnz Lien is partiaily�elcased as fol lows.INSTRUIMEMT NU111�ER
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<br />="• ❑5UBOADINATION. 'Ihc Staoe Tax Ucn is subordi�ated as followa. INSTRUIIAENT NUMBER
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<br /> - NartfBOt poKy�M�9 toG��tespon�ibte for fiung ceNfkatn of parli�at ret8a�e or suba6nacon wiUi appropriateding officer. �i�_.-�_
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<br />- �hgret�y cettttymat i�e Neb�aska t of Revenu¢�has aomplied witli the revenuo Iarrsolthe Shate ot NeWa3ke In Q�e detertnlnaUOn of lhe (�i�•���'
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<br /> NEg DEPARTMENT F REVENUE•Whfte and Canary Copies YleXPAYER-Pfnk Copy COUNTY OFFICE•Goldenrod Copy ;� �
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